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  3. Is There a Link Between Obesity and Rheumatoid Arthritis?

Is There a Link Between Obesity and Rheumatoid Arthritis?

Find out how obesity affects rheumatoid arthritis and what you can do to manage both conditions for a healthier lifestyle.

  • Orthopedic
By Sakshi More 30th Apr '24 8th Aug '24

Obesity and rheumatoid arthritis (RA) are closely linked. Each can make the other worse. This blog covers the close link between obesity and RA. It covers the impact of obesity on the disease's progress and treatment. It also covers the benefits that lifestyle changes can give to those affected.

Obesity and Rheumatoid Arthritis

Are you ready to take control of your rheumatoid arthritis? Book an appointment today! and learn more strategies and get detailed guidance from orthopedic specialists.

How Obesity and Rheumatoid Arthritis Interconnected?

Obesity is not just about weight. It is a complex health condition. It affects levels of inflammation in the body.  Obesity increases the production of body fat-associated cytokines, which are inflammatory. 

Rheumatoid arthritis is an autoimmune disease characterized by chronic inflammation of the joints. Obesity is associated with an increased risk of mortality, cardiovascular comorbidity, total joint replacement, work disability, increased pain, and impaired quality of life in RA patients.

  • As of 2019, an estimated 18 million people lived with RA. It is more prevalent in women, and the incidence increases with age.
  • Approximately two-thirds of people with RA are overweight or obese. However, the presence of excess body fat in RA patients can exacerbate symptoms, interfere with medication efficacy, and lead to additional health complications.
  • Obesity can worsen RA symptoms and reduce the chances of getting better. A study found that obesity at the onset of RA reduces the chances of remission by 43% and sustained remission by 51%. Being obese might also make their RA get worse over time in terms of how well they can move and how active their disease is.

How Does Obesity Affect Rheumatoid Arthritis?

Now, you might be wondering, how exactly does obesity affect your Rheumatoid arthritis? Here’s what we've to say.
Keep reading further to get clear knowledge. 

What Are the Risks of Obesity for Rheumatoid Arthritis Patients?

  • Increases Inflammation: Extra body fat releases more chemicals that cause inflammation, worsening RA symptoms.
  • Causes More Joint Pain: Extra weight adds pressure on joints, increasing pain and discomfort.
  • Limits Mobility: Higher body weight can make it harder to move around, affecting your ability to manage RA.
  • Raises Risk of Other Health Issues: Obesity is linked to diseases like type 2 diabetes and heart disease, which are also common in people with RA.
  • Affects Medication Effectiveness: Being overweight can reduce the effectiveness of RA medications.
  • Slows Recovery: Excess weight can slow down recovery from RA flare-ups due to increased stress on the body.

And guess what? Small changes can make a big difference. We’ll guide you through manageable lifestyle tweaks that could relieve your RA symptoms.

Managing RA in the Context of Obesity

Effective management of RA in obese patients requires a comprehensive approach that includes:

  • Weight Management: Reducing body weight can help alleviate the severity of RA symptoms and improve overall health.
  • Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. These foods can reduce inflammation and support weight loss.
  • Incorporate Anti-Inflammatory Foods: Include foods high in omega-3 fatty acids, like salmon and flaxseeds, known for their anti-inflammatory properties.
  • Regular Exercise: Do gentle exercises like walking, swimming, or cycling. They don't stress the joints but help with weight loss and heart health.
  • Manage Portion Sizes: Eating smaller portions can help reduce calorie intake and promote weight loss, lessening the load on your joints.
  • Stay Hydrated: Drinking plenty of water helps flush out toxins and keeps your joints lubricated.
  • Limit Sugary and Processed Foods: These foods can contribute to weight gain and increase inflammation in the body.
  • Consult a Nutritionist: A professional can provide personalized dietary advice tailored to your RA and weight management needs.
  • Practice Stress-Reducing Techniques: Stress can exacerbate RA symptoms. Techniques such as yoga, meditation, or even simple breathing exercises can be beneficial.

Regular exercise isn't just about weight loss. Find out how it can transform your RA management plan.

Benefits of Exercise for Rheumatoid Arthritis Patients with Obesity

Benefits of Exercise for Rheumatoid Arthritis Patients with Obesity

  • Reduces Joint Pain and Stiffness: Moving regularly helps keep joints flexible and less stiff. Strengthening the muscles around joints also eases the load on them.
  • Improves Overall Health: Exercise burns calories, which is key to losing weight. Less weight means less stress on joints. It also lowers the risk of heart disease, which RA patients are more prone to.
  • Boosts Mental Well-being: Exercise releases endorphins that make you feel better. It can lessen depression and anxiety, and achieving fitness goals can improve self-esteem and body image.
  • Enhances Functionality and Energy: Regular physical activity can lessen pain, improve movement, and boost energy levels, helping RA patients stay more active.

Feeling overwhelmed? You’re not alone, ease your RA discomfort by talking to the experts. Schedule a consultation now.

Conclusion

Understanding the link between obesity and rheumatoid arthritis is crucial for effective management. Strategic lifestyle changes can greatly improve life. They can also help manage symptoms and maybe reduce the need for medications.


FAQs

Is obesity a risk factor for arthritis?

Yes, obesity is a big risk for arthritis. It raises the risk for various forms, including rheumatoid arthritis. This is due to higher stress on joints and more inflammatory markers.

How does body fat influence the efficacy of rheumatoid arthritis medication?

Too much body fat can hamper rheumatoid arthritis drugs. This is especially true for biologics. Fat cells can absorb medication intended for inflammation. This reduces its availability to act on the disease.

Can losing weight improve rheumatoid arthritis symptoms?

Yes, losing weight can significantly improve symptoms of rheumatoid arthritis. Less body mass lowers the strain on joints. It also decreases inflammation levels. And it can improve treatment plans.

References:
The impact of obesity on the development and progression of rheumatoid arthritis | Annals of the Rheumatic Diseases (bmj.com)

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Question and Answers

Dear sir mam please help me Mere right pair me bahot dard rahta hai kamar se leke pure pair tak karib 6 mahine ho gaye hai thik nahi ho raha hai baba ne mere bataya hai ki sciatica hai tumhare please help me

Male | 30

Hi, if it is sciatica,wo pura bnd hoskta hai with proper treatment. Consult a Physiotherapist.

Answered on 20th Nov '24

Dr. Atulana  NK

Dr. Atulana NK

Shoulde and neck pain Headce

Male | 26

Could be cervical spine anomaly, kindly get it checked. 100%curable with Physiotherapy.

Answered on 20th Nov '24

Dr. Atulana  NK

Dr. Atulana NK

Hey, what I’d like to check is what the implications are that I seem to have symptoms developing after having the first vaccine. The bite mark has swelled and is itchy/prickly. The muscles in the affected leg feel tired and heavy. Might be totally unrelated but I woke up today with the hamstring in the other leg feeling pulled, I don’t think I was doing anything that would pull it. Facts are - I was lightly bitten by a wild dog on the evening of the 15th. By noon of the 16th I had the vaccine (Rabivax-S). Since then the symptoms above have appeared around the bite mark.

Female | 25

Swelling and itching near the bite, tired legs, and muscle heaviness are likely due to the dog bite and the vaccine. Your body might be overreacting to the vaccine. The hamstring pain in the other leg may not be related to the bite or vaccine. Use cold compresses and OTC antihistamines for itching and pain. Rest your legs and avoid physical activity to ease fatigue. If symptoms persist or worsen, consult your doctor. Ensure rabies prevention by following your doctor’s advice.

Answered on 19th Nov '24

Dr. Pramod Bhor

Dr. Pramod Bhor

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